Domestic Corporation Sole Annual Report Form - 2008

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STATE OF HAWAII
DOMESTIC CORPORATION SOLE
RETURN ORIGINAL BY SEPTEMBER 30
FILING FEE: $ 5.00
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
BUSINESS REGISTRATION DIVISION
H
Clear Form
335 Merchant Street
Mailing Address: Annual Filing, P.O. Box 40, Honolulu, HI. 96810
DOMESTIC CORPORATION SOLE ANNUAL REPORT AS OF JULY 1, 2008
CORPORATE NAME AND MAILING ADDRESS:
HAMAKUA BAPTIST CHURCH
P O BOX 7
PAPAALOA HI 96780
If the above mailing address has changed, line out and print change to the right.
If address of principal office differs from the above mailing address, state the address of principal office. Include City, State, and
Zip Code: ______________________________________________________________________________________________
1. The following is a brief description of the nature of activities which the corporation is actually conducting.
NATURE OF ACTIVITIES:
(To correct, line out and print corrections below. If inactive during the period, state INACTIVE.)
2. OFFICERS/DIRECTORS: (List all officers and directors. At least one officer must be a resident of Hawaii. )
OFFICE HELD/
ADDRESS (INCLUDE CITY, STATE & ZIP CODE)
NAME IN FULL
DIRECTOR CODE
CERTIFICATION
I certify under the penalties of Section 414D-12, Hawaii Revised Statutes, that I have read the above, the information is
true and correct, and I am authorized to sign this report.
DATE:
Signature of authorized officer, attorney-in-fact
Print Name
for an officer, or receiver or trustee
(if the corporation is in the hands of a receiver or trustee)
FILE NO.
0212645D9
B18
Rev. 11/2008
B22
2008
*0212645D9*
*2008*
File this Original
(SEE REVERSE SIDE FOR INSTRUCTIONS)
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